Park Ridge Endodontics
NPI 1467774661ActiveOrganization· Preferred Provider Organization· Park Ridge, IL
Preferred Provider Organization in Park Ridge, Illinois, registered in NPPES in February 2010. The authorized official on file is Patrick I. Fitzgerald, DDS, President.
Overview
| NPI | 1467774661 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2010 |
| Last updated in NPPES | Feb 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 060009606 | IL |
| Health Maintenance Organization | 302R00000X | 060009606 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Preferred Provider Organization providers in Park Ridge
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